1957 Beaver Dam Ct - COCCity of Eaiall
City Approved: V l
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & Iy1FILTRATION
City of Eagan, Minnesota
Ptoperty Address: C t 0{M ( #
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property Listed above has been inspected by authorized City personnel on , 201_ 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equired
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section 3 40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE. Applicable only if box is checked: FiBased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.
Signature
Yellow Copy: City of Eagan (Parcel F ile)
_ / U `a-®
Date
City of EaRall
rev 2 .23 2010